High School Virtual Academy

We are excited for your interest in joining the Furman family and exploring the Furman Advantage! Thank you for applying. We look forward to reviewing your application.

Name: Name: First Middle Last
Name that you prefer:
Home Address: Home Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Your Email:
Parent/Guardian Name
Parent/Guardian’s Email Address:
Parent's Employer (if applicable)
High School Name:
Grade Level (the grade you be in this fall):
How did you hear about the program?

Please rank your preferred subject area of interest:
	First Choice	Second Choice	Third Choice
Community Health	Community HealthFirst Choice	Community HealthSecond Choice	Community HealthThird Choice
Innovation & Entrepreneurship	Innovation & EntrepreneurshipFirst Choice	Innovation & EntrepreneurshipSecond Choice	Innovation & EntrepreneurshipThird Choice
Sustainability	SustainabilityFirst Choice	SustainabilitySecond Choice	SustainabilityThird Choice

In your own words, why are you interested in participating in Furman’s immersive program?
Maximum of 250 words allowed. Currently Entered: 0 words.
Do you need a scholarship to attend this program?
Please explain
Do you have access to a reliable internet connection?
Will you be available from 9am-12pm EST for the duration of the course?
Do you have access to Excel and Powerpoint?
Is there anything else you would like us to know?